Department of Urology, Columbia University Irving Medical Center, New York, NY.
Department of Urology, The Smith Institute for Urology, Lenox Hill Hospital, New York, NY.
Urology. 2022 Jun;164:55-62. doi: 10.1016/j.urology.2021.11.004. Epub 2021 Nov 20.
To conduct a nationwide evaluation of student and program director (PD) perspectives of virtual subinternships that took place during the COVID-19 pandemic.
In December 2020, we distributed anonymous surveys to all 534 urology residency applicants and 161 urology PDs at academic medical centers across the United States to evaluate virtual subinternships. Surveys assessed curriculum composition, goals, satisfaction, barriers, and future reusability. The primary outcome was overall satisfaction with the subinternship, evaluated on a 5-point Likert scale.
The survey was completed by 174 students (33%) and 82 PDs (51%), including 81 students (47%) and 32 PDs (41%) who participated in virtual subinternships at 29 institutions. Overall, 77% of students and 78% of PDs rated the electives "excellent" or "very good." On ordinal logistic regression, higher student ratings were associated with duration ≥3 weeks (odds ratio [OR] 4.64, P = .003) and class size ≤4 students (OR 3.33, P = .015). Higher PD ratings were associated with full-time electives (OR 11.18, P = .019), class size ≤4 students (OR 13.99, P = .042), and utilization of the standardized Guidebook from the Society of Academic Urologists (OR 11.89, P = .038). The most commonly reported challenge to the subinternship's efficacy was lack of hands-on learning (87% of students and 81% of PDs). Looking forward, 45% of students and 66% of PDs recommended incorporating virtual components into future electives.
The virtual subinternship was a coordinated nationwide initiative to provide urologic education to medical students during a pandemic. The most successful courses were structured with longer duration, full-time commitment, and small class size.
对在 COVID-19 大流行期间进行的虚拟实习医师计划进行全国性评估，了解学生和项目主任（PD）的看法。
2020 年 12 月，我们向美国各地的 534 名泌尿科住院医师申请人和 161 名泌尿科 PD 分发了匿名调查，以评估虚拟实习医师计划。调查评估了课程组成、目标、满意度、障碍和未来的可重用性。主要结果是对实习医师计划的整体满意度，采用 5 分 Likert 量表进行评估。
共有 174 名学生（33%）和 82 名 PD（51%）完成了调查，其中 81 名学生（47%）和 32 名 PD（41%）参加了 29 个机构的虚拟实习医师计划。总体而言，77%的学生和 78%的 PD 对选修课的评价为“优秀”或“非常好”。在有序逻辑回归中，较高的学生评分与持续时间≥3 周（优势比[OR] 4.64，P=0.003）和班级规模≤4 名学生（OR 3.33，P=0.015）相关。较高的 PD 评分与全职选修课（OR 11.18，P=0.019）、班级规模≤4 名学生（OR 13.99，P=0.042）和利用学术泌尿科医师学会的标准化指南（OR 11.89，P=0.038）相关。实习医师计划效果的最常见挑战是缺乏实践学习（87%的学生和 81%的 PD）。展望未来，45%的学生和 66%的 PD 建议将虚拟内容纳入未来的选修课。
虚拟实习医师计划是一项全国性的协调计划，旨在为医学生提供大流行期间的泌尿科教育。最成功的课程结构具有更长的持续时间、全职承诺和小班规模。
